
  <div class="layui-form" lay-filter="layuiadmin-app-form-list" id="layuiadmin-app-form-list"style="padding: 20px 30px 0 0;">
    <div class="layui-form-item">
      <label class="layui-form-label">会员姓名</label>
      <div class="layui-input-inline">
        <script type="text/html" template>
          <input type="text" name="name" value="{{ d.params.author || '' }}" lay-verify="required" placeholder="请输入会员姓名" autocomplete="off" class="layui-input">
        </script>
      </div>
    </div>
    <div class="layui-form-item">
      <label class="layui-form-label">性别</label>
      <div class="layui-input-block">
      <input type="radio" name="sex" value="男" title="男">
        <input type="radio" name="sex" value="女" title="女" checked>
      </div>
    </div>
    <div class="layui-form-item">
      <label class="layui-form-label">身份</label>
      <div class="layui-input-inline">
        <select name="category" lay-verify="required">
         <option value="">--请选择--</option>
          <option value="老师">老师</option>
          <option value="学生">学生</option>
        </select>
      </div>
    </div>
    <div class="layui-form-item">
      <label class="layui-form-label">系别</label>
      <div class="layui-input-inline">
        <script type="text/html" template>
          <input type="text" name="department" value="{{ d.params.author || '' }}" lay-verify="required" placeholder="请输入系别" autocomplete="off" class="layui-input">
        </script>
      </div>
    </div>
    <div class="layui-form-item">
      <label class="layui-form-label">专业</label>
      <div class="layui-input-inline">
        <script type="text/html" template>
          <input type="text" name="profession" value="{{ d.params.author || '' }}" lay-verify="required" placeholder="请输入专业" autocomplete="off" class="layui-input">
        </script>
      </div>
    </div>
    <div class="layui-form-item">
      <label class="layui-form-label">身份证号</label>
      <div class="layui-input-inline">
        <script type="text/html" template>
          <input type="text" name="card" value="{{ d.params.author || '' }}" lay-verify="required" placeholder="请输入身份证号" autocomplete="off" class="layui-input">
        </script>
      </div>
    </div>
    <div class="layui-form-item">
      <label class="layui-form-label">年级</label>
      <div class="layui-input-inline">
        <script type="text/html" template>
          <input type="text" name="grade" value="{{ d.params.author || '' }}" lay-verify="required" placeholder="请输入年级" autocomplete="off" class="layui-input">
        </script>
      </div>
    </div>
    <div class="layui-form-item">
      <label class="layui-form-label">电话</label>
      <div class="layui-input-inline">
        <script type="text/html" template>
          <input type="text" name="phone" value="{{ d.params.author || '' }}" lay-verify="required" placeholder="请输入电话" autocomplete="off" class="layui-input">
        </script>
      </div>
    </div>
    <div class="layui-form-item">
      <label class="layui-form-label">状态</label>
        <div class="layui-input-block">
          <input type="radio" name="status" value="0" title="0" checked>
          <input type="radio" name="status" value="1" title="1" >
      </div>
    </div>
    <div class="layui-form-item">
      <label class="layui-form-label">备注</label>
      <div class="layui-input-inline">
        <script type="text/html" template>
          <textarea name="remark" lay-verify="required" style="width: 400px; height: 150px;" autocomplete="off" class="layui-textarea">
            {{ d.params.content || '' }}
          </textarea>
        </script>
      </div>
    </div>
    <script type="text/html" template>
      <input type="hidden" name="id" value="{{ d.params.id || '' }}">
      <input type="hidden" name="regdate" id="regdater" value="{{ d.params.title || '' }}"  autocomplete="off" class="layui-input">
      <input type="hidden" name="cardNo" value="{{ d.params.title || '' }}" autocomplete="off" class="layui-input">
    </script>
    <div class="layui-form-item">
      <label class="layui-form-label"></label>
      <div class="layui-input-inline">
        <input type="button" lay-submit lay-filter="layuiadmin-app-form-submit" value="确认" class="layui-btn">
      </div>
    </div>
  </div>
